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NPI Code Detail

MEDICARE: JOEL T GETTY OD

MEDICARE: JOEL T GETTY OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0EG001750PA
2152W00000XOptometrist006873NY

General Provider Information

NPI Number : 1083681779
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL T GETTY OD
Provider Business Mailing Address
First Line : 1384 RED HILL RD
Second Line :
City : PORT TREVORTON
State : PA
Zip : 17864-9694
Country : US
Telephone Number : 570-765-8284
Fax Number :
Provider Business Practice Location Address
First Line : 247 BROAD ST
Second Line :
City : MONTOURSVILLE
State : PA
Zip : 17754-2283
Country : US
Telephone Number : 570-329-0188
Fax Number : 570-329-0190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 07/13/2016

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